Community-based delivery of intermittent preventive treatment of malaria in pregnancy in Burkina Faso: a qualitative study

Malaria Journal

Kristen Vibbert¹  Katherine Wolf¹  Danielle Burke¹  Ousmane Badolo²  Justin Tiendrebeogo²  Yacouba Savadogo³  William Brieger⁴  Julie Gutman⁵  Courtney Emerson⁵  Susan Youll⁶ 

[1] Jhpiego, Baltimore, MD, USA;Jhpiego, Ouagadougou, Burkina Faso;National Malaria Control Programme, Ministry of Health, Ouagadougou, Burkina Faso;The Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA;US President’s Malaria Initiative, Malaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, US Centers for Disease Control and Prevention, Atlanta, USA;US President’s Malaria Initiative, US Agency for International Development, Washington, D.C., USA;

关键词: Malaria;    Pregnancy;    Intermittent preventive treatment;    Community healthcare workers;   

DOI  :  10.1186/s12936-021-03814-y

来源: Springer

【 摘 要 】

BackgroundBurkina Faso is among ten countries with the highest rates of malaria cases and deaths in the world. Delivery and coverage of intermittent preventive treatment of malaria in pregnancy (IPTp) is insufficient in Burkina Faso; In a 2016 survey, only 22% of eligible women had received their third dose of IPTp. It is also an extremely rural country and one with an established cadre of community healthcare workers (CHWs). To better meet the needs of pregnant women, an enhanced programme was established to facilitate distribution of IPTp at the community level by CHWs.MethodsIn order to assess the perceptions of CHWs and facility healthcare workers (HCWs) involved in this programme rollout, semi-structured interviews were conducted at three high malaria burden health districts in Burkina Faso. Interviews were conducted at baseline with 104 CHWs and 35 HCWs prior to the introduction of community based IPTp (c-IPTp) to assess capacity and any areas of concern. At endline, interviews were conducted with 29 CHWs and 21 HCWs to identify key facilitators and suggestions for further implementation of the c-IPTp programme.ResultsCHWs reported feeling capable of supporting c-IPTp delivery and facilitating linkage to antenatal care (ANC). They noted that the opportunity for enhanced training and close and ongoing connections with facility HCWs and supportive supervision were imperative. Both CHWs and HCWs perceived this approach as acceptable to community members and noted the importance of close community engagement, monthly meetings between CHWs and facility HCWs, and maintaining regular supplies of sulfadoxine–pyrimethamine (SP). Those interviewed noted that it was beneficial to have the involvement of both female and male CHWs.ConclusionsCommunity-based delivery of IPTp was feasible and acceptable to both facility HCWs and CHWs. This approach has the potential to strengthen delivery and uptake of IPTp and ANC both in Burkina Faso and across the region.

【 授权许可】

CC BY